Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,087.13 / $4,991.47 / $14,482.00	Facility		$3,087.13	$4,991.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,707.54 / $3,087.13 / $8,752.07	Professional		$1,707.54	$3,087.13	$8,752.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,449.91 / $6,026.25 / $14,926.21	Professional		$2,449.91	$6,026.25	$14,926.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,218.63 / $7,266.96 / $11,721.35	Facility		$6,218.63	$7,266.96	$11,721.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,215.02 / $7,512.32 / $9,990.60	Professional		$4,215.02	$7,512.32	$9,990.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,440.27 / $3,862.72 / $5,670.00	Facility		$2,440.27	$3,862.72	$5,670.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,440.27 / $3,862.72 / $9,547.50	Facility		$2,440.27	$3,862.72	$9,547.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,943.46 / $7,368.63 / $14,338.91	Professional		$2,943.46	$7,368.63	$14,338.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $1,749.25 / $5,399.75	Professional		$145.66	$1,749.25	$5,399.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,440.27 / $3,862.72 / $5,670.00	Facility		$2,440.27	$3,862.72	$5,670.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,985.50 / $7,698.38 / $10,099.94	Professional		$4,985.50	$7,698.38	$10,099.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55,760.44 / $55,760.44 / $55,760.44	Facility		$55,760.44	$55,760.44	$55,760.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,312.33 / $12,159.45 / $23,438.00	Professional		$4,312.33	$12,159.45	$23,438.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,702.85 / $12,702.85 / $12,702.85	Professional		$12,702.85	$12,702.85	$12,702.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,333.96 / $16,833.80 / $16,833.80	Professional		$11,333.96	$16,833.80	$16,833.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,936.50 / $7,440.13 / $11,998.40	Professional		$2,936.50	$7,440.13	$11,998.40